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Daily Care

My 10 year daughter was diagnosed with type 1 diabetes about three months ago. After a short honeymoon, her blood sugars have been increasing quickly, for the last month, in spite of our efforts to counteract with more insulin, and her efforts to exercise heavily and follow her meal plan. I have several questions.

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Since my son’s lunch is now a half and hour later than last year with a gym class before lunch, I asked his doctor if I could lower his morning Humalog so he doesn’t go low before lunch. He refused saying to increase his snack to 45 grams of carb. The problem is my son just can’t eat that much. Why can’t I adjust the insulin for this situation?

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My six year old son who has had type 1 diabetes for approximately two years, broke his left clavicle a couple of weeks ago, and we are having an extremely hard time getting his glucose numbers within acceptable target ranges even with a sliding scale. I have several questions.

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What are the consequences of having a blood sugar of over 200 mg/dl [11.1 mmol/L] for an hour or so when one eats and the Humalog has not taken effect yet? She has always been a “stubborn” kind of kid, but since she has been on insulin, her mood swings have gotten worse. Is this just part of being five years old or is it related to the disease?

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Is it normal practice to deny taking a patient because they have type 1 diabetes? We were just turned down as a new patient at a local pediatricians office because my son has type 1. I told them that he has a regular endocrinologist that he sees every three months for his diabetes but she told me that they are a small, busy practice and didn’t think their office was the best “fit” for my son.

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My niece and nephew, both with diabetes, do not behave. They lie about their diabetes care. Can diabetes be causing their behavioral problems?

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Why does my son not wake up for night time lows? What can you tell me about Dead in Bed Syndrome? Should I pursue celiac testing? Should I consider using Lantus?

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My 11 year old son has lipoatrophy from injections and the pump. If the fatty tissue continues to disappear, where will we put the pump in the future? He is slow to respond to Humalog. Should we try NovoLog?

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My 11 year old son has had type 1 diabetes since he was a year old, and now I find it extremely difficult to control. His blood sugar is always high, but sometimes it comes down to normal, and I don’t know why is this happening. Is this what is known as the peripheral insulin resistance that happens in adolescence?

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Is “tight control therapy” used in India? What does it cost?

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